Precious Time Child Development Center Employment Application
Precious Time Child Development Center is an equal opportunity employer.  This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law.  Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.  
First and Last Name
Please list your Date of birth: *
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Home address: *
Email: *
Phone Number: *
Date of Application: *
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Position Applying for:
How did you hear about this position?  If current employee referred you, please list their name.  *
What days are you available to work? *
Required
What times are you available to work?  *
If offered a position, what date are you able to start? 
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If offered a position, would you also need childcare?  If so, how old is your child? 
Do you have reliable transportation to and from work?  *
What is your desired salary?  *
Have you previously applied to work with PTCDC? *
Are any friends, relatives or acquaintances working with us?  *
If yes to above question, please list name and relationship.  If no to above question, please say "not applicable."  *
Are you a US Citizen or approved to work in the US? *
Will you consent to mandatory, random controlled substance tests?  *
Have you ever been convicted of a felony, child abuse, or child neglect?  *
Have you ever held a childcare license with the Department of Children and Families or been registered to provide childcare in your home? *
While employed in a childcare program, have you ever been the subject of disciplinary action, or been the party responsible for a childcare facility receiving an administrative fine or other disciplinary action?  *
If yes to above question, please explain.
Do you have any condition which would require job accommodations?  If yes, please list accommodations required.   *
Are you a member of the military?  If yes, please list rank and years of service.  *
Education and Training
Please list your high school, years attended, and degree earned.
Please list your college, years attended, and degree earned.
Please list your vocational/trade, years attended, and degree earned.
Previous Employment
Please list info for your last 3 employers.  Company Name, Phone Number, Dates employed, reason for leaving.
Most recent employer *
2nd most recent employer *
3rd most recent employer *
Personal References
Please list 3 personal references.  Include name, relationship and contact number. 
Reference #1 *
Reference #2
 *
Reference #3
 *
Additional Questions
Please list 3 personal strengths *
Please list 3 personal areas needing development *
What could you offer our facility?  *
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